| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $343.12 | $395.90 | $395.90 | |
CareFirst
| Professional | $422.30 | $485.64 | $553.63 | |
Cigna
| Professional | $279.77 | $279.77 | $279.77 | |
Kaiser Permanente
| Professional | $527.87 | $607.04 | $791.81 | |
United
| Professional | $221.71 | $242.82 | $422.05 | |
Wellpoint
| Professional | $263.94 | $419.66 | $419.66 |